
Texas has 1176 nursing homes, 2024 assisted living communities, and 1867 home health agencies in our database. Its nursing homes average a SunsetWell Score of 50.4/100, with 21% high-performing (75+). Average monthly cost: $7,200-$11,400.
Finding the right care for someone you love in Texas can feel overwhelming—you're juggling emotions, logistics, and tough decisions all at once. You're not alone in this journey. Texas is home to hundreds of skilled nursing facilities, assisted living communities, and home health agencies, and while that means you have options, it also means you need reliable information to make the best choice for your loved one.
Texas nursing homes vary widely in quality, staffing levels, and specialty care offerings. Some facilities excel at memory care for those with dementia, while others specialize in short-term rehabilitation after surgery or hospitalization. The good news is that Texas has strong oversight through the Health and Human Services Commission, and you have tools—like SunsetWell scores and CMS ratings—to compare facilities objectively.
Remember: this decision doesn't have to be perfect; it has to be right for your family's unique situation. Trust your instincts during tours, ask questions about staffing ratios and infection control, and know that advocating for your loved one is one of the most compassionate acts you can do.
State averages can hide whether staffing is steady day to day. Our Weekend Effect report uses CMS daily payroll data to compare weekend staffing drops, volatility, and contract labor reliance at individual nursing homes.
Burnet • 407 W JACKSON ST
Lewisville • 429 FRANKIE LANE
Sweeny • 1101 E 2ND ST
Belton • 500 RIVER FAIR BLVD
Bastrop • 2604 STATE HIGHWAY 71 E. BUILDING B
Wylie • 800 W. BROWN ST.
Midland • 3400 CALDERA BLVD
Dallas • 105 JULIETTE FOWLER ST
Plano • 2625 PIN OAK LANE
Bridgeport • 2106 15TH ST
Lubbock • 8609 BOSTON AVE
Houston • 1507 HAMLIN VALLEY
Burleson • 1155 NW JOHN JONES DRIVE
Needville • 11750 PADON RD STE B
Bedford • 2600 PARKVIEW LANE
NEW BRAUNFELS • 2468 FM 1101
Houston • 7214 LAS BRISAS DRIVE
Watauga • 5800 N PARK DR
Cedar Park • 800 C-BAR RANCH TRAIL
Plano • 5340 TOWNE SQUARE DRIVE
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Texas.
Apply through Your Texas Benefits (YourTexasBenefits.com) or at local Health and Human Services office. You'll need financial documents, medical records, and proof of U.S. citizenship.
Costs vary significantly by region—urban areas like Houston and Dallas tend to be pricier than rural communities. Short-term rehabilitation may be covered by Medicare for up to 100 days.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Texas.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Texas Health and Human Services Commission, SunsetWell Analysis