Nursing Homes in Texas- Monthly Analysis & Key Metrics
The State Level Skilled Nursing Home Analysis Report
Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.
At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.
The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.
Summary Analysis of Nursing Homes in Texas- The 10,000 foot view
Updated on November 5, 2023
According to the latest data compiled by NursingHomeDatabase.com, Texas has a total of 1,190 active skilled nursing facilities and 130,199 beds. Based on the US Census estimates for the population of 30,029,572, the current total bed count represents one bed for every 230.64 persons in Texas. There were 82,914 residents as November 5, 2023 for a state wide occupancy level of 63.68 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 725 new beds and lost 1,481 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 | 0.66 |
| Certified Nursing Assistants (CNA) | 1.94 | 2.25 |
| Licensed Practical Nurse (LPN) | 1.01 | 0.88 |
| All Staff | 3.33 | 3.79 |
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 418 new cases and 418 new deaths among residents for the week ending November 5, 2023. 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 725 beds over the past year. Below is list of the new facilities:
Texas lost 20 skilled nursing facilities and 1,481 beds over the past year. Below is list of the lost facilities:
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 those homes on this list. This is due to quirks with the rating system that tends to keep the overall rating from changing very quickly.
| Facility | Rating |
|---|---|
|
Hendrick Skilled Nursing Facility 1900 PINE ABILENE, TX |
0.00 |
|
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 |
2.00 |
|
Anderson Nursing Center 520 BRADBURN RD GRAND SALINE, TX |
2.00 |
|
The Premier Snf of Alice 800-A COYOTE TRAIL ALICE, TX |
2.67 |
|
Mrc The Crossings 255 N EGRET BAY BLVD LEAGUE CITY, TX |
2.67 |
|
Brookdale Trinity Towers 317 N CARANCAHUA CORPUS CHRISTI, TX |
4.00 |
|
Birchwood of Beeville 600 S HILLSIDE DR BEEVILLE, TX |
4.00 |
The list below shows the worst skilled nursing facilities in Texas based on their most recent weighted average inspection score.
| Facility | Rating |
|---|---|
|
Palestine Healthcare Center 1816 TILE FACTORY RD PALESTINE, TX |
580.83 / |
|
Westpark Rehabilitation and Living 900 WESTPARK WAY EULESS, TX |
554.33 / |
|
Longmeadow Healthcare Center 120 MEADOWVIEW DR JUSTIN, TX |
456.33 / |
|
Corinth Rehabilitation Suites On The Parkway 3511 CORINTH PARKWAY CORINTH, TX |
439.67 / |
|
Coronado Nursing Center 1751 N 15TH ST ABILENE, TX |
436.33 Rating Not Available |
|
Trail Lake Nursing and Rehabilitation 7100 TRAIL LAKE DR FORT WORTH, TX |
435.50 / |
|
Solidago Health and Rehabilitation 1720 N LOGAN ST TEXAS CITY, TX |
434.17 / |
|
Remarkable Healthcare of Fort Worth 6649 N RIVERSIDE DR FORT WORTH, TX |
431.17 Rating Not Available |
|
Asbury Care Center of Houston 10851 CRESCENT MOON DR HOUSTON, TX |
399.67 |
|
Arbor Grace Guest Care Center 2700 S HENDERSON BLVD KILGORE, TX |
393.17 / |
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 | 6.80 | Lower |
| Cycle 1 Total Number Of Fire Safety Deficiencies | 2.20 | Lower |
| Cycle 2 Total Number Of Health Deficiencies | 6.30 | Lower |
| Cycle 2 Total Number Of Fire Safety Deficiencies | 2.50 | Lower |
| Cycle 3 Total Number Of Health Deficiencies | 7.10 | Lower |
| Cycle 3 Total Number Of Fire Safety Deficiencies | 3.90 | Lower |
| Average Number Of Residents Per Day | 71.80 | Lower |
| Reported Nurse Aide Staffing Hours Per Resident Per Day | 1.94 | Lower |
| Reported Lpn Staffing Hours Per Resident Per Day | 1.01 | Higher |
| Reported Rn Staffing Hours Per Resident Per Day | 0.38 | Lower |
| Reported Licensed Staffing Hours Per Resident Per Day | 1.39 | Lower |
| Reported Total Nurse Staffing Hours Per Resident Per Day | 3.33 | Lower |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 2.88 | Lower |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.29 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.07 | Lower |
| Total Nursing Staff Turnover | 58.20 | Higher |
| Registered Nurse Turnover | 58.40 | Higher |
| Number Of Administrators Who Have Left The Nursing Home | 0.80 | Higher |
| Case-mix Rn Staffing Hours Per Resident Per Day | 0.41 | Higher |
| Case-mix Total Nurse Staffing Hours Per Resident Per Day | 3.23 | Higher |
| Number Of Fines | 3.00 | Higher |
| Fine Amount In Dollars | 45,750.00 | Higher |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 16.87 | Higher |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 4.68 | Lower |
| Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder | 53.00 | Higher |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 1.22 | Lower |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 1.28 | Lower |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 5.42 | 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 | 3.41 | Higher |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 95.94 | Higher |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 9.40 | Lower |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 85.69 | Higher |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.74 | Higher |
| Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened | 13.03 | Lower |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 22.17 | Higher |
| Percentage Of High Risk Long Stay Residents With Pressure Ulcers | 6.89 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 96.64 | Higher |
| Percentage Of Short Stay Residents Who Made Improvements In Function | 69.21 | Lower |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 79.79 | Higher |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 24.57 | Higher |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 12.70 | Higher |
| Number Of Hospitalizations Per 1000 Long-stay Resident Days | 2.05 | Higher |
| Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days | 1.27 | Higher |
