The 10 Worst Nursing Homes in Texas

  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

• The Hillcrest of North Dallas (349)
• Provide safe and appropriate respiratory care for a resident when needed. (2024-12-08)
• Reasonably accommodate the needs and preferences of each resident. (2024-12-03)
• Skyline Nursing Center (333.167)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-03-01)
• Reasonably accommodate the needs and preferences of each resident. (2025-03-01)
• South Dallas Nursing and Rehabilitation (301)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-02-18)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-02-18)
• Forest Park Nursing and Rehabilitation (255.833)
• Protect each resident from the wrongful use of the resident's belongings or money. (2025-03-06)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-03-06)
• Southern Oaks Therapy and Living Center (194.833)
• Have approved installation, maintenance and testing program for fire alarm systems. (2024-07-26)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-06-14)
• Kadima Rehabilitation and Nursing at Lakeside (181.667)
• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (2025-02-03)
• Provide enough food/fluids to maintain a resident's health. (2025-01-03)
• The Meadows Health and Rehabilitation Center (180)
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (2025-02-10)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-02-10)
• Treemont Healthcare and Rehabilitation Center (161)
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2024-12-09)
• 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. (2024-08-30)
• The Lennwood Nursing and Rehabilitation (159.167)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2025-03-10)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-03-10)
• The Villages of Dallas (143)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-03-31)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-03-31)

Worst Nursing Homes in Houston

• Arden Wood (462)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-02-20)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-02-20)
• Paradigm at Woodwind Lakes (460.333)
• 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. (2025-03-14)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-11-15)
• University Place Nursing Center (443.833)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-11-03)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-11-03)
• Focused Care at Beechnut (420.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-08-29)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-08-01)
• West Houston Rehabilitation and Healthcare Center (405.833)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2025-02-01)
• Properly select, install, inspect, or maintain portable fire extinguishes. (2025-02-01)
• Terra Bella Health and Wellness Suites (349.167)
• PASARR screening for Mental disorders or Intellectual Disabilities (2025-01-17)
• 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. (2025-01-17)
• Paradigm at Westbury (283.833)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-10-15)
• Ensure each resident receives an accurate assessment. (2024-10-15)
• Fallbrook Rehabilitation and Care Center (250.333)
• Properly select, install, inspect, or maintain portable fire extinguishes. (2024-03-11)
• Inspect, test, and maintain automatic sprinkler systems. (2024-03-11)
• Mememorial City Nursing and Rehabilitation Center (198)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-02-17)
• 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. (2025-02-17)
• Oasis at Galleria LLC (180)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-31)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-22)

Worst Nursing Homes in San Antonio

• Southeast Nursing and Rehabilitation Center (250.667)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-03-27)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-03-27)
• Retama Manor Nursing Center/san Antonio West (233.667)
• Keep residents' personal and medical records private and confidential. (2025-01-31)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-31)
• Castle Hills Rehabilitation and Care Center (216.333)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2024-10-07)
• Inspect, test, and maintain automatic sprinkler systems. (2024-10-07)
• San Antonio North Nursing and Rehabilitation (215.833)
• Reasonably accommodate the needs and preferences of each resident. (2025-01-11)
• Keep residents' personal and medical records private and confidential. (2025-01-11)
• Normandy Terrace Nursing and Rehabilitation Center (214.167)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-14)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-08-14)
• Las Colinas of Westover (184.833)
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (2024-10-08)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-08)
• Golden Estates Rehabilitation Center (175)
• 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. (2025-03-26)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-03-01)
• Regent Care at Medical Center (172)
• Establish policies and procedures for volunteers. (2024-08-30)
• Address patient/client population and determine types of services needed. (2024-08-30)
• Asbury Care Center of Alamo (165.333)
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2025-02-13)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-02-12)
• Memorial Medical Nursing Center (164.5)
• Make sure that a working call system is available in each resident's bathroom and bathing area. (2025-01-25)
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2025-01-25)

Worst Nursing Homes in Austin

• Gracy Woods Nursing Center (462.5)
• 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. (2025-03-03)
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (2025-03-03)
• Coral Rehabilitation and Nursing of Austin (282)
• 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. (2025-04-16)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-01-31)
• Austin Wellness and Rehabilitation (270)
• Provide and implement an infection prevention and control program. (2025-02-02)
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (2025-02-02)
• Ignite Medical Resort Round Rock, LLC (268.333)
• Ensure precautions for handling oxygen cylinders and equipment are correctly followed. (2025-03-24)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-01-31)
• West Oaks Nursing and Rehabilitation Center (217.5)
• Ensure that residents are free from significant medication errors. (2025-02-12)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-05-22)
• Brodie Ranch Nursing and Rehabilitation Center (162.5)
• Have properly installed electrical wiring and gas equipment. (2024-12-27)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-08-09)
• Brookdale Westlake Hills (155)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2025-03-13)
• Reasonably accommodate the needs and preferences of each resident. (2025-03-12)
• Windsor Nursing and Rehabilitation Center of Duval (132.333)
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (2024-09-20)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-09-09)
• Oakcrest Nursing and Rehabilitation Center (124.667)
• Have properly installed electrical wiring and gas equipment. (2025-01-31)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-08-12)
• Heritage Park Rehabilitation and Skilled Nursing C (113.5)
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (2025-02-10)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-11-09)

Worst Nursing Homes in Fort Worth

• Trail Lake Nursing and Rehabilitation (319.333)
• 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. (2024-11-25)
• Provide and implement an infection prevention and control program. (2024-11-25)
• Caraday of Ft. Worth (288.333)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-03-01)
• Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (2025-03-01)
• Cityview Nursing and Rehabilitation Center (269)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-02-01)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-31)
• James L West Center For Dementia Care (247.6)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-10-12)
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2024-10-12)
• Green Valley Healthcare and Rehabilitation Center (246)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-02-21)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-21)
• Estates Healthcare and Rehabilitation Center (224.833)
• Install an approved automatic sprinkler system. (2025-03-21)
• Properly install and monitor supervisory attachments on automatic sprinkler systems. (2025-03-14)
• Ignite Medical Resort Fort Worth, LLC (195.833)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-28)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-02-28)
• Marine Creek Nursing and Rehabilitation (175.5)
• 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. (2024-12-13)
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2024-11-30)
• Mira Vista Court (157.667)
• Provide and implement an infection prevention and control program. (2025-03-13)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-08)
• Wedgewood Nursing Home (154)
• Provide and implement an infection prevention and control program. (2025-03-07)
• 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. (2025-03-07)

  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

  How We Compile Nursing Home Ratings in Texas

Every month, we rank all of the skilled nursing facilities in Texas. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Texas is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Texas nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Texas nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!