State data · CMS September 2026
Nursing homes in Texas
Texas has 1,177 nursing homes certified for Medicare or Medicaid, with 133,493 certified beds and a median occupancy of 68.6% (US median 85.7%). 70% are for-profit, 9% nonprofit and 21% government-owned, and 80% belong to a chain or affiliated group. HUD has endorsed 357 FHA-insured Section 232 nursing home loans in Texas since fiscal 2001, totaling $3 billion in original principal, 64 of them since fiscal 2021.
- Facilities
- 1,177
- Certified beds
- 133,493
- Median occupancy
- 68.6%
- Median nurse hours / resident day
- 3.27
- HUD 232 loans since FY2001
- 357
Star ratings
CMS overall ratings for the 1,165 rated Texas facilities. 6 are Special Focus Facilities and 30 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Texas | Share |
|---|---|---|
| For-profit | 825 | 70% |
| Nonprofit | 105 | 9% |
| Government | 247 | 21% |
| Changed ownership in the last 12 months | 17 | 1% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 121 | 10% |
Largest chains and affiliated groups in Texas
- Creative Solutions in Healthcare: 149 facilities
- Avir Health Group: 118 facilities
- The Ensign Group: 85 facilities
- Wellsential Health: 67 facilities
- Cantex Continuing Care: 37 facilities
- Hmg Healthcare: 29 facilities
- Advanced Healthcare Solutions: 28 facilities
- Opco Skilled Management: 27 facilities
- Nexion Health: 26 facilities
- Touchstone Communities: 25 facilities
Facilities with HUD Section 232 history
171 Texas facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Windmill Village Rehabilitation & Care Center | Lubbock | 120 | Aug 26, 2026 | $9,392,700 |
| Springtown Park Rehabilitation and Care Center | Springtown | 120 | Aug 26, 2026 | $18,637,900 |
| College Park Rehabilitation and Care Center | Weatherford | 120 | Aug 26, 2026 | $14,356,800 |
| The Center at Parmer | Austin | 80 | Jul 9, 2026 | $20,000,000 |
| Windemere at Westover Hills | San Antonio | 112 | Apr 7, 2026 | $10,828,400 |
| Laredo West Nursing and Rehabilitation Center | Laredo | 188 | Feb 25, 2026 | $11,608,000 |
| The Center at Grande | Tyler | 96 | Feb 5, 2026 | $18,700,000 |
| The Heights on Valley Ranch | Porter | 122 | Nov 25, 2025 | $14,043,400 |
| Maverick Nursing and Rehabilitation Center | Eagle Pass | 114 | Nov 18, 2025 | $11,475,000 |
| Briarcliff Nursing and Rehabilitation Center | McAllen | 194 | Nov 18, 2025 | $31,365,000 |
| Mission Valley Nursing and Transitional Care | Mission | 120 | Nov 18, 2025 | $32,045,000 |
| Rio Grande City Nursing and Rehabilitation Center | Rio Grande City | 110 | Nov 18, 2025 | $24,820,000 |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | 148 | Nov 18, 2025 | $15,215,000 |
| The Woodlands Nursing and Rehabilitation Center | The Woodlands | 214 | Nov 18, 2025 | $20,060,000 |
| Weslaco Nursing and Rehabilitation Center | Weslaco | 120 | Nov 18, 2025 | $22,270,000 |
| Windsor Nursing and Rehabilitation Center of Harli | Harlingen | 154 | Nov 4, 2025 | $19,368,000 |
| Windsor Nursing and Rehabilitation Center of Mcall | Mcallen | 110 | Nov 4, 2025 | $8,178,400 |
| Windsor Nursing and Rehabilitation Center of Raymo | Raymondville | 120 | Nov 4, 2025 | $5,383,200 |
| University Park Nursing and Rehabilitation | Wichita Falls | 98 | Oct 30, 2025 | $8,473,000 |
| Pleasanton South Nursing and Rehabilitation | Pleasanton | 88 | Oct 16, 2025 | $7,354,000 |
| West Oaks Nursing & Rehabilitation | Houston | 136 | Oct 8, 2025 | $7,326,900 |
| Palomino Place | Mesquite | 120 | Sep 17, 2025 | $10,187,400 |
| Onion Creek Nursing and Rehabilitation Center | Austin | 125 | Aug 14, 2025 | $17,840,000 |
| Simpson Place | Dallas | 50 | Aug 13, 2025 | $19,280,000 |
| Texoma Healthcare Center | Sherman | 179 | Aug 13, 2025 | $9,424,000 |
| La Hacienda De Paz Rehabilitation and Care Center | Eagle Pass | 104 | Jul 23, 2025 | $13,680,400 |
| Twin Pines North Nursing and Rehabilitation Center | Victoria | 90 | Jun 30, 2025 | $16,152,000 |
| Baywood Crossing Rehabilitation & Healthcare Cente | Pasadena | 124 | Jun 26, 2025 | $9,936,000 |
| Coronado at Stone Oak | San Antonio | 112 | Jun 17, 2025 | $11,800,400 |
| Pebble Creek Nursing Center | El Paso | 120 | Jun 3, 2025 | $13,000,000 |
| Legacies Nursing and Rehabilitation | Hemphill | 90 | May 29, 2025 | $10,800,000 |
| Mystic Park Nursing and Rehabilitation Center | San Antonio | 119 | May 20, 2025 | $11,680,000 |
| Park Manor of South Belt | Houston | 120 | May 15, 2025 | $13,708,000 |
| The Heights of Alamo | Alamo | 130 | Apr 29, 2025 | $16,576,800 |
| Las Alturas Nursing & Transitional Care | Laredo | 138 | Mar 13, 2025 | $14,500,000 |
| Belterra Health & Rehab | McKinney | 103 | Dec 4, 2024 | $14,593,200 |
| Paradigm at the Creek | Wharton | 120 | Sep 26, 2024 | $10,800,000 |
| Oasis at Pearland | Pearland | 138 | Aug 27, 2024 | $11,364,200 |
| Cypress Pointe Health & Wellness | Houston | 124 | May 29, 2024 | $15,952,000 |
| Windsor Arbor View | Edinburg | 120 | Jan 30, 2024 | $24,880,000 |
| Valley Grande Manor | Weslaco | 147 | Jun 29, 2023 | $17,874,000 |
| Bel Air at Teravista | Round Rock | 112 | Mar 29, 2023 | $10,949,000 |
| Highland Meadows | Rockwall | 120 | Feb 27, 2023 | $14,400,000 |
| Western Hills Healthcare Residence | Comanche | 158 | Oct 26, 2022 | $2,987,700 |
| Fairview Healthcare Residence | Fairfield | 84 | Oct 26, 2022 | $2,080,000 |
| Windsor Healthcare Residence | Groesbeck | 90 | Oct 26, 2022 | $3,426,900 |
| Crestview Healthcare Residence | Waco | 192 | Oct 26, 2022 | $9,064,800 |
| Legacy Nursing and Rehabilitation | Bryan | 117 | Jun 28, 2022 | $8,992,500 |
| Los Arcos Del Norte Care Center | El Paso | 124 | Jun 23, 2022 | $8,960,000 |
| Bonne Vie | Port Arthur | 140 | Apr 28, 2022 | $14,480,000 |
| The Heights of North Houston | Houston | 131 | Dec 22, 2021 | $7,280,000 |
| Army Residence Community | San Antonio | 91 | Dec 22, 2021 | $5,200,000 |
| Mid Valley Nursing & Rehabilitation | Mercedes | 123 | Dec 16, 2021 | $11,649,500 |
| The Heights on Huebner | San Antonio | 120 | Nov 16, 2021 | $11,685,800 |
| Park Manor of Conroe | Conroe | 125 | Nov 15, 2021 | $23,793,500 |
| Park Manor of Tomball | Tomball | 125 | Nov 15, 2021 | $15,596,200 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | Oct 7, 2021 | $11,856,000 |
| Mountain View Health & Rehabilitation | El Paso | 187 | Aug 6, 2021 | $13,600,000 |
| The Heights of Gonzales | Gonzales | 132 | Jul 15, 2021 | $9,112,800 |
| The Heights of Tomball | Tomball | 131 | Jul 15, 2021 | $16,640,000 |
| West Side Campus of Care | White Settlement | 234 | Apr 27, 2021 | $20,320,000 |
| Amistad Nursing and Rehabilitation Center | Uvalde | 200 | Apr 26, 2021 | $8,645,000 |
| Ignite Medical Resort Sugar Land, LLC | Sugar Land | 90 | Sep 23, 2020 | $15,141,800 |
| Prestonwood Rehabilitation & Nursing Center | Plano | 132 | Aug 31, 2020 | $8,751,300 |
| Skyline Nursing Center | Dallas | 204 | Aug 20, 2020 | $14,151,700 |
| St. Giles Nursing and Rehabilitation Center | El Paso | 124 | Jun 16, 2020 | $10,448,000 |
| The Bradford at Brookside | Livingston | 125 | May 28, 2020 | $6,830,100 |
| Villages of Lake Highlands | Dallas | 126 | May 20, 2020 | $20,756,500 |
| West Houston Rehabilitation and Healthcare Center | Houston | 124 | Apr 30, 2020 | $8,383,500 |
| Cibolo Creek | Boerne | 120 | Apr 29, 2020 | $9,738,700 |
| Friendship Haven Healthcare and Rehabilitation Cen | Friendswood | 150 | Apr 23, 2020 | $11,863,400 |
| San Antonio Wellness & Rehabilitation | San Antonio | 154 | Feb 20, 2020 | $9,172,800 |
| Crown Point Health Suites | Lubbock | 108 | Dec 23, 2019 | $13,096,000 |
| Windsor Nursing and Rehabilitation Center of Corpu | Corpus Christi | 120 | Nov 7, 2019 | $9,704,000 |
| Bastrop Lost Pines Nursing and Rehabilitation Cent | Bastrop | 120 | Jul 8, 2019 | $14,552,000 |
| Windsor Calallen | Corpus Christi | 120 | Jul 8, 2019 | $16,040,000 |
| Windsor Mission Oaks | San Antonio | 150 | Jul 8, 2019 | $14,208,000 |
| Pine Tree Lodge Nursing Center | Longview | 92 | May 16, 2019 | $3,943,000 |
| Dogwood Trails Manor | Woodville | 90 | May 16, 2019 | $4,652,600 |
| The Broadmoor at Creekside Park | The Woodlands | 112 | Apr 12, 2019 | $16,167,000 |
| Beacon Hill | Denison | 150 | Jan 24, 2019 | $11,074,900 |
| Solera at West Houston | Houston | 112 | Jan 24, 2019 | $13,275,000 |
| Ft Worth Southwest Nursing Center | Fort Worth | 198 | Apr 26, 2018 | $12,800,000 |
| Southbrooke Manor Nursing and Rehabilitation Cente | Edna | 120 | Feb 28, 2018 | $11,960,000 |
| Heritage House at Paris Rehab & Nursing | Paris | 90 | Jan 31, 2018 | $6,680,000 |
| Victoria Gardens of Allen | Allen | 120 | Dec 15, 2017 | $9,280,000 |
| The Homestead of Denison | Denison | 140 | Dec 15, 2017 | $4,480,000 |
| Victoria Gardens of Frisco | Frisco | 118 | Dec 15, 2017 | $6,880,000 |
| Vista Ridge Nursing & Rehabilitation Center | Lewisville | 132 | Dec 15, 2017 | $4,160,000 |
| Val Verde Nursing and Rehabilitation Center | Del Rio | 76 | Nov 16, 2017 | $4,760,000 |
| Regency House | San Angelo | 120 | Oct 18, 2017 | $7,267,700 |
| Southpark Meadows Nursing and Rehabilitation Cente | Austin | 120 | Sep 27, 2017 | $9,573,600 |
| Windsor Nursing and Rehabilitation Center of Duval | Austin | 206 | Sep 27, 2017 | $19,248,000 |
| Pecan Creek Healthcare Center | Hamilton | 76 | Jul 28, 2017 | $1,990,000 |
| Fair Park Health & Rehabilitation Center | Dallas | 114 | Jun 21, 2017 | $8,936,000 |
| Vintage Health Care Center | Denton | 106 | Jun 21, 2017 | $10,920,000 |
| Mullican Care Center | Savoy | 112 | Jun 21, 2017 | $8,080,000 |
| Pleasant Manor Healthcare and Rehabilitation | Waxahachie | 132 | Jun 21, 2017 | $9,432,000 |
| Gracy Woods Nursing Center | Austin | 118 | May 12, 2017 | $4,883,300 |
| Trinity Care Center | Round Rock | 179 | May 12, 2017 | $6,127,000 |
| Greenville Gardens | Greenville | 103 | Mar 28, 2017 | $6,343,800 |
| Sunny Springs Nursing & Rehab | Sulphur Springs | 95 | Mar 28, 2017 | $4,070,800 |
| Windsor Atrium | Harlingen | 120 | Mar 22, 2017 | $15,352,000 |
| Ebony Lake Nursing and Rehabilitation Center | Brownsville | 122 | Dec 15, 2016 | $12,416,000 |
| Chandler Nursing Center | Chandler | 90 | Oct 31, 2016 | $4,768,000 |
| Briarcliff Health Center | Tyler | 230 | Oct 31, 2016 | $7,176,000 |
| Heritage Convalescent Center | Amarillo | 116 | Oct 11, 2016 | $6,207,000 |
| Cross Timbers Rehabilitation and Healthcare Center | Flower Mound | 120 | Sep 24, 2015 | $6,600,000 |
| Greenhill Villas | Mount Pleasant | 150 | Jan 29, 2015 | $7,200,000 |
| The Heights of Tyler | Tyler | 120 | Dec 4, 2014 | $9,719,300 |
| The Belmont at Twin Creeks | Allen | 112 | Sep 30, 2014 | $7,599,300 |
| Prairie Estates | Frisco | 180 | Sep 30, 2014 | $15,685,300 |
| The Carlyle at Stonebridge Park | Southlake | 112 | Sep 30, 2014 | $16,311,800 |
| New Hope Manor | Cedar Park | 114 | Jun 18, 2014 | $5,608,000 |
| Country Care Manor | La Vernia | 91 | May 5, 2014 | $5,349,100 |
| The Heights of Atascosa | Pleasanton | 100 | May 5, 2014 | $6,223,300 |
| Golden Villa | Atlanta | 120 | Mar 17, 2014 | $5,715,100 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | Dec 30, 2013 | $8,563,800 |
| The Colonnades at Reflection Bay | Pearland | 180 | Dec 18, 2013 | $13,452,400 |
| Ridgeview Rehabilitation and Skilled Nursing | Cleburne | 134 | Nov 14, 2013 | $6,104,000 |
Showing the 120 most recent. Every facility is in the full list below.
Largest by certified beds
- Normandy Terrace Nursing & Rehabilitation Center, San Antonio: 320 beds
- Five Points at Lake Highlands Nursing and Rehab, Dallas: 280 beds
- Richardson Nursing and Rehabilitation, Richardson: 280 beds
- Willow Ridge Wellness & Rehabilitation, Fort Worth: 265 beds
- Golden Acres Living and Rehabilitation Center, Dallas: 264 beds
- Williamsburg Village Healthcare Campus, Desoto: 242 beds
- Broadway Nursing & Rehabilitation, San Antonio: 237 beds
- West Side Campus of Care, White Settlement: 234 beds
- Texhoma Christian Care Center Inc, Wichita Falls: 234 beds
- Briarcliff Health Center, Tyler: 230 beds
Every Texas facility
The full list is sorted by city, 6 pages of up to 200.
Abilene to ComancheComanche to FriendswoodFriona to JacksboroJacksonville to NacogdochesNacogdoches to Sulphur SpringsSulphur Springs to Zapata
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.