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.
Updated on January 5, 2025
Summary Analysis
According to the latest data compiled by NursingHomeDatabase.com, Texas has a total of 1,176 active skilled nursing facilities with 134,683 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 222.96 persons in Texas.
There were 85,825 residents as of January 5, 2025 for a state wide occupancy level of 63.72%.
(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 310 new beds and lost 1,139 existing beds over the past year.
Staffing Levels Comparison
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) | 0.42 | 0.68 |
| Certified Nursing Assistants (CNA) | 2.02 | 2.33 |
| Licensed Practical Nurse (LPN) | 0.95 | 0.86 |
| All Staff | 3.39 | 3.87 |
Detailed Analysis for 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 208 new cases and 0 new deaths among residents for the week ending January 5, 2025.
New Nursing Homes
Texas added 4 new skilled nursing facilities and 310 beds over the past year.
Lost Nursing Homes
Texas lost 13 skilled nursing facilities and 1,139 beds over the past year.
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
The chart below shows the overall occupancy for nursing home beds 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.
| Facility | Rating |
|---|---|
|
The Methodist Hospital Snf 6565 FANNIN HOUSTON, TX |
0.00
|
|
Mrc The Crossings 255 N EGRET BAY BLVD LEAGUE CITY, TX |
1.00
|
|
Whispering Springs Rehabilitation and Healthcare C 506 S 7TH ST CARRIZO SPRINGS, TX |
2.00
|
|
Meadow Lake Health Center 16044 COUNTY ROAD 165 TYLER, TX |
2.00
|
|
Azalea Trail Nursing and Rehabilitation Center 411 SPRING CREEK RD GRAND SALINE, TX |
3.00
|
|
Park Manor of Cyfair 11001 CRESCENT MOON DR HOUSTON, TX |
3.00
|
|
San Saba Nursing and Rehabilitation 2400 WEST BROWN STREET SAN SABA, TX |
3.00
|
|
Midtowne Meadows Health and Rehab 110 DYLAN WAY MIDLOTHIAN, TX |
3.00
|
|
Laredo Medical Center 1700 E SAUNDERS ST LAREDO, TX |
4.00
|
|
Hendrick Skilled Nursing Facility 1900 PINE ABILENE, TX |
5.00
|
The list below shows the worst skilled nursing facilities in Texas based on their most recent weighted average inspection score.
| Facility | Rating |
|---|---|
|
Woodway Nursing and Rehab 2808 Stoneybrook Drive Houston, TX |
1,201.75
Rating Not Available
Abuse Flag
|
|
Coral Rehabilitation and Nursing of Austin 6909 Burnet Ln Austin, TX |
964.25
Abuse Flag
|
|
Afton Oaks Nursing and Rehabilitation Center 7514 Kingsley St Houston, TX |
789.50
Abuse Flag
|
|
Kennedy Health and Rehab 504 N John Redditt Dr Lufkin, TX |
684.25
Abuse Flag
|
|
Whispering Pines Lodge 2131 Alpine Rd Longview, TX |
682.50
Abuse Flag
|
|
Merkel Nursing Center 1704 N 1ST Merkel, TX |
665.25
Abuse Flag
|
|
Coral Rehabilitation and Nursing of Arlington 1112 Gibbins Rd Arlington, TX |
647.00
Rating Not Available
Abuse Flag
|
|
Dfw Nursing and Rehab 900 W Leuda St Fort Worth, TX |
615.00
Abuse Flag
|
|
Kingwood Rehabilitation and Healthcare Center 23775 Kingwood Place Kingwood, TX |
593.50
Abuse Flag
|
|
Trinity Rehabilitation and Healthcare Center 314 E Caroline St Trinity, TX |
571.25
Abuse Flag
|
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.
| Metric | Value | Comparison |
|---|---|---|
| Overall Rating | 2.70 | Lower |
| Health Inspection Rating | 2.80 | Lower |
| Qm Rating | 3.80 | Higher |
| Staffing Rating | 1.80 | Lower |
| Cycle 1 Total Number Of Health Deficiencies | 9.10 | Lower |
| Cycle 1 Total Number Of Fire Safety Deficiencies | 3.10 | Lower |
| Cycle 2 Total Number Of Health Deficiencies | 9.40 | Lower |
| Cycle 2 Total Number Of Fire Safety Deficiencies | 2.90 | Lower |
| Cycle 3 Total Number Of Health Deficiencies | 8.80 | Lower |
| Cycle 3 Total Number Of Fire Safety Deficiencies | 2.30 | Lower |
| Average Number Of Residents Per Day | 75.50 | Lower |
| Reported Nurse Aide Staffing Hours Per Resident Per Day | 2.02 | Lower |
| Reported Lpn Staffing Hours Per Resident Per Day | 0.95 | Higher |
| Reported Rn Staffing Hours Per Resident Per Day | 0.42 | Lower |
| Reported Licensed Staffing Hours Per Resident Per Day | 1.37 | Lower |
| Reported Total Nurse Staffing Hours Per Resident Per Day | 3.39 | Lower |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 3.00 | Lower |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.33 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.06 | Lower |
| Total Nursing Staff Turnover | 53.80 | Higher |
| Registered Nurse Turnover | 52.80 | Higher |
| Number Of Administrators Who Have Left The Nursing Home | 0.70 | Higher |
| Nursing Case-mix Index | 1.36 | Lower |
| Case-mix Rn Staffing Hours Per Resident Per Day | 0.66 | Lower |
| Case-mix Total Nurse Staffing Hours Per Resident Per Day | 3.77 | Lower |
| Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day | 3.35 | Lower |
| Number Of Fines | 1.60 | Higher |
| Fine Amount In Dollars | 49,788.00 | Higher |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 16.05 | Higher |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 3.21 | Lower |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 0.39 | Lower |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 0.83 | Lower |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 2.51 | 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 | 3.27 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 96.86 | Higher |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 9.43 | Lower |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 89.22 | Higher |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.54 | Lower |
| Percentage Of Long Stay Residents Whose Ability To Walk Independently Worsened | 14.89 | Lower |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 18.39 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 97.95 | Higher |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 88.03 | Higher |
| Percentage Of Long Stay Residents With Pressure Ulcers | 4.04 | Lower |
| Percentage Of Long Stay Residents With New Or Worsened Bowel Or Bladder Incontinence | 14.20 | Lower |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 25.84 | Higher |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 12.21 | Higher |
| Number Of Hospitalizations Per 1000 Long-stay Resident Days | 2.18 | Higher |
| Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days | 2.06 | Higher |