Analysis Report of Nursing Homes in Texas

Key metrics for nursing homes in Texas including number and beds, staffing levels, occupancy, newest facilities, and more. Updated weekly.

Summary Analysis of Nursing Homes in Texas- The 10,000 foot view

Updated on June 30, 2024

According to the latest data compiled by NursingHomeDatabase.com, Texas has a total of 1,184 active skilled nursing facilities with 127,608 total beds. Based on the US Census estimates for the population of 30,029,572, the current total bed count represents one bed for every 235.33 persons in Texas. There were 82,283 residents as June 30, 2024 for a state wide occupancy level of 64.48 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Texas has added 645 new beds and lost 1,364 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Texas and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.38 0.65
Certified Nursing Assistants (CNA) 1.92 2.26
Licensed Practical Nurse (LPN) 0.99 0.87
All Staff 3.29 3.78

Detailed analysis pages for the largest cities in Texas:

COVID-19 Infections in Texas Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Texas there were a total of 258 new cases and 258 new deaths among residents for the week ending June 30, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Texas

Texas added 6 new skilled nursing facilities and 645 beds over the past year. Below is list of the new facilities:

Facility Number of Beds
Mont Belvieu Rehabilitation and Healthcare Center 124
James L West Center For Dementia Care 100
Ware Memorial Care Center 120
Tierra Este Nursing and Rehabilitation Center 120
Midtowne Meadows Health and Rehab 121
The Sarah Roberts French Home 60

Texas lost 16 skilled nursing facilities and 1,364 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Shannon Medical Center 28
The Watermark at Broadway Cityview 122
The Sarah Roberts French Home 60
Ware Memorial Care Center 25
Athens Healthcare and Rehabilitation Center 60
San Jacinto Manor 96
Windsor Nursing and Rehabilitation Center of Rio G 100
Focused Care at Corpus 94
Focused Care at Stonebriar 134
Crystal Creek at Preston Hollow 57
Arlington Villas Rehabilitation and Healthcare Cen 168
Pearl Nordan Care Center - Nursing 30
Buckner Villa Siesta Home 76
Remarkable Healthcare of Fort Worth 120
The Medical Resort at Willowbrook 104
The Medical Resort at Woodlands 90

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Texas Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Texas. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Texas

The list below shows the best skilled nursing facilities in Texas based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Laredo Medical Center
1700 E SAUNDERS ST
LAREDO, TX
0.00
Baylor Scott and White Continuing Care Hospital Skil
2401 SOUTH 31ST ST
TEMPLE, TX
0.67
The Heights of Alamo
1214 S. ALAMO ROAD
ALAMO, TX
1.33
Meridian Care of Hebbronville
606 W GRUY
HEBBRONVILLE, TX
1.33
Anderson Nursing Center
520 BRADBURN RD
GRAND SALINE, TX
2.00
Highland Meadows Health and Rehab
1870 S JOHN KING BLVD
ROCKWALL, TX
2.00
Mrc The Crossings
255 N EGRET BAY BLVD
LEAGUE CITY, TX
2.67
Birchwood of Beeville
600 S HILLSIDE DR
BEEVILLE, TX
4.00
Sun Valley Rehabilitation and Healthcare Center
2902 S 77 SUNSHINE STRIP
HARLINGEN, TX
5.33
Allegiant Wellness and Rehab
724 W. RENDON CROWLEY ROAD
CROWLEY, TX
5.33

The list below shows the worst skilled nursing facilities in Texas based on their most recent weighted average inspection score.

Facility Rating
Brentwood Terrace Healthcare and Rehabilitation
2885 STILLHOUSE ROAD
PARIS, TX
902.00
/
Paradigm at Woodwind Lakes
7215 WINDFERN RD
HOUSTON, TX
698.33
Rating Not Available /
Oasis at Austin
3509 ROGGE LN
AUSTIN, TX
675.17
Rating Not Available /
Oakmont Healthcare and Rehabilitation Center of Hu
8450 WILL CLAYTON PKWY
HUMBLE, TX
620.50
Paris Healthcare Center
610 DESHONG DR
PARIS, TX
598.67
/
University Place Nursing Center
7480 BEECHNUT
HOUSTON, TX
541.33
/
Palestine Healthcare Center
1816 TILE FACTORY RD
PALESTINE, TX
511.00
Rating Not Available /
Skyline Nursing Center
3326 BURGOYNE
DALLAS, TX
506.83
/
Riverview Nursing and Rehabilitation
1102 RIVER RD
BOERNE, TX
490.17
Rating Not Available /
Trail Lake Nursing and Rehabilitation
7100 TRAIL LAKE DR
FORT WORTH, TX
480.00
Rating Not Available /

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Texas Compared to Nationwide

We have compared Texas nursing homes to the nationwide average on several metrics. Texas performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 8.70 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 2.50 Lower
Cycle 2 Total Number Of Health Deficiencies 6.70 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 2.10 Lower
Cycle 3 Total Number Of Health Deficiencies 6.50 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 3.00 Lower
Average Number Of Residents Per Day 72.60 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 1.92 Lower
Reported Lpn Staffing Hours Per Resident Per Day 0.99 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.38 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.37 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.29 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 2.87 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.29 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.06 Lower
Total Nursing Staff Turnover 56.40 Higher
Registered Nurse Turnover 56.60 Higher
Number Of Administrators Who Have Left The Nursing Home 0.70 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.41 Higher
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.22 Higher
Number Of Fines 2.60 Higher
Fine Amount In Dollars 50,502.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.63 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 4.55 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 53.39 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.01 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 1.17 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 5.20 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.04 Lower
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.43 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 96.59 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 9.14 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 87.45 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.58 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 12.74 Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 22.53 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 6.71 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 97.39 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 69.98 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 82.09 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 24.69 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 12.79 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 2.15 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.34 Higher

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