The 10 Worst Nursing Homes in Texas

Finding the Right Nursing Home in Texas: Why It Matters

When it comes to choosing a nursing home for your loved ones in Texas, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in Texas" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in Texas

Our state rankings highlight the nursing homes in Texas that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

Worst Nursing Homes in Texas By City

Every city in Texas has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Dallas

• Forest Park Nursing and Rehabilitation (275.5)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2026-04-17)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-02-21)
• The Hillcrest of North Dallas (220.5)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-12-02)
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-08-01)
• Skyline Nursing Center (214.25)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2026-04-17)
  • Install emergency lighting that can last at least 1 1/2 hours. (2026-04-17)
• Continuing Care at Highland Springs (143.5)
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (2026-01-22)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-01-22)
• The Highlands Guest Care Center (141.75)
  • Establish roles under a Waiver declared by secretary. (2026-02-13)
  • Establish policies and procedures for volunteers. (2026-02-13)
• Brentwood Place Three (109.25)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-03-24)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-20)
• Brentwood Place Two (107.25)
  • Properly select, install, inspect, or maintain portable fire extinguishes. (2026-04-04)
  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2026-04-04)
• The Villa at Mountain View (104)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-04-16)
  • Honor 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. (2025-12-11)
• Kadima Rehabilitation and Nursing at Lakeside (94.5)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2025-10-01)
  • Inspect, test, and maintain automatic sprinkler systems. (2025-10-01)
• The Lennwood Nursing and Rehabilitation (91.25)
  • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2025-12-12)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-12-12)

Worst Nursing Homes in Houston

• Avir at Arden Wood (285)
  • Provide and implement an infection prevention and control program. (2026-01-06)
  • Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. (2025-04-15)
• West Houston Rehabilitation and Healthcare Center (226.5)
  • Provide safe and appropriate respiratory care for a resident when needed. (2026-04-10)
  • Properly select, install, inspect, or maintain portable fire extinguishes. (2025-02-01)
• Brookdale Galleria (165.5)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-03-26)
  • Ensure each resident receives an accurate assessment. (2025-11-26)
• Villa Toscana at Cypress Woods (127)
  • Provide properly protected cooking facilities. (2026-05-08)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2026-05-08)
• Legend Oaks Healthcare and Rehabilitation Center - (104.25)
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (2025-12-12)
  • Ensure each resident receives an accurate assessment. (2025-12-12)
• The Buckingham (86.25)
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2025-10-03)
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-10-03)
• Parkway Place (78.25)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-05-15)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-06-16)
• North Houston Transitional Care (62.25)
  • Have properly located and lighted "Exit" signs. (2025-05-03)
  • Properly select, install, inspect, or maintain portable fire extinguishes. (2025-05-03)
• Focused Care at Westwood (57)
  • Provide and implement an infection prevention and control program. (2026-01-07)
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2026-01-07)
• Trend Health and Rehab of Houston (48)
  • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2025-05-15)
  • Ensure residents have reasonable access to and privacy in their use of communication methods. (2025-05-15)

Worst Nursing Homes in San Antonio

• Buena Vida Nursing and Rehab-San Antonio (418.25)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2026-03-06)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-01-17)
• Broadway Nursing and Rehabilitation (247.75)
  • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (2026-04-30)
  • Keep residents' personal and medical records private and confidential. (2026-04-18)
• Crestway Nursing and Rehabilitation (179.25)
  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (2026-05-01)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-12-03)
• Memorial Medical Nursing Center (164.5)
  • Ensure each resident receives an accurate assessment. (2026-04-19)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-19)
• Northgate Health and Rehabilitation Center (157.75)
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (2026-05-08)
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2026-05-01)
• Las Colinas of Westover (145.5)
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2025-12-22)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-12-06)
• Sonterra Health Center (134.25)
  • Reasonably accommodate the needs and preferences of each resident. (2025-06-13)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-06-13)
• Hunters Pond Rehabilitation and Healthcare (121.25)
  • Provide and implement an infection prevention and control program. (2026-03-04)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2025-09-08)
• Highland Nursing Center (120.25)
  • Properly select, install, inspect, or maintain portable fire extinguishes. (2026-04-30)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-04-30)
• Wurzbach Nursing and Rehabilitation (116)
  • Have proper medical gas storage and administration areas. (2025-07-26)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-07-26)

Worst Nursing Homes in Austin

• Austin Wellness and Rehabilitation (201.25)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2026-03-21)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-03-21)
• Ignite Medical Resort Round Rock, LLC (183.75)
  • Ensure that residents are free from significant medication errors. (2026-02-27)
  • Keep residents' personal and medical records private and confidential. (2026-02-27)
• St Marks Living (166.25)
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2026-05-07)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-05-07)
• Legend Oaks Healthcare and Rehabilitation - North (151.5)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-09-18)
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2025-09-18)
• Brookdale Westlake Hills (125.5)
  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2026-05-05)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-05-05)
• Onion Creek Nursing and Rehabilitation Center (121)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-03-03)
  • Ensure that residents are free from significant medication errors. (2025-12-12)
• West Oaks Nursing and Rehabilitation Center (107)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2026-03-02)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-02)
• Oakcrest Nursing and Rehabilitation Center (103)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-03-25)
  • Honor 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. (2026-03-25)
• Windsor Nursing and Rehabilitation Center of Duval (102.5)
  • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (2026-04-16)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-06-28)
• Southpark Meadows Nursing and Rehabilitation Cente (96)
  • PASARR screening for Mental disorders or Intellectual Disabilities (2025-12-09)
  • Ensure each resident receives an accurate assessment. (2025-12-09)

Worst Nursing Homes in Fort Worth

• Avir at Fort Worth (221)
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2026-03-24)
  • Reasonably accommodate the needs and preferences of each resident. (2026-03-24)
• Ignite Medical Resort Fort Worth, LLC (207.5)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2026-03-29)
  • Develop and maintain an Emergency Preparedness Program (EP). (2026-03-12)
• Renaissance Park Multi Care Center (166.5)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-08-01)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-06-18)
• Mira Vista Court (110.25)
  • Provide and implement an infection prevention and control program. (2025-11-22)
  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2025-11-22)
• Wedgewood Nursing Home (109.25)
  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2026-05-21)
  • Provide properly protected cooking facilities. (2026-05-20)
• Richland Hills Rehabilitation and Healthcare Cente (102)
  • Ensure 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. (2025-12-06)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-12-06)
• Downtown Health and Rehabilitation Center (92)
  • Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (2026-04-17)
  • Reasonably accommodate the needs and preferences of each resident. (2026-04-17)
• Garden Terrace Healthcare Center of Fort Worth (74)
  • Have properly located and lighted "Exit" signs. (2026-03-29)
  • Install an approved automatic sprinkler system. (2026-03-29)
• River Oaks Health and Rehabilitation Center (69)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2026-04-18)
  • Provide properly protected cooking facilities. (2026-04-18)
• Life Care Center of Haltom (61)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-03-30)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-03-30)

Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Texas
• Analysis of Nursing Homes in Texas

Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

Tips for Evaluating Nursing Homes in Texas:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit