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.

Summary Analysis of Nursing Homes in Texas- The 10,000 foot view

Updated on October 27, 2024

According to the latest data compiled by NursingHomeDatabase.com, Texas has a total of 1,187 active skilled nursing facilities with {TOTAL BEDS} 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 222.77 persons in Texas. There were 86,014 residents as October 27, 2024 for a state wide occupancy level of 63.81 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 711 new beds and lost 938 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) 0.41 0.67
Certified Nursing Assistants (CNA) 1.96 2.29
Licensed Practical Nurse (LPN) 1.00 0.88
All Staff 3.37 3.84

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 103 new cases and 103 new deaths among residents for the week ending October 27, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Texas

Texas added 8 new skilled nursing facilities and 711 beds over the past year. Below is list of the new facilities:

Facility Number of Beds
Five Points Nursing and Rehabilitation of College St 116
Legacy Estate Long Term Care 100
Tierra Este Nursing and Rehabilitation Center 120
Midtowne Meadows Health and Rehab 121
The Sarah Roberts French Home 60
Las Alturas Nursing and Transitional Care Brownsvill 90
Riverside Nursing and Rehabilitation Center 100
Hca Houston Healthcare Southeast 4

Texas lost 11 skilled nursing facilities and 938 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Shannon Medical Center 28
The Watermark at Broadway Cityview 122
The Sarah Roberts French Home 60
Citizens Medical Center 20
Oasis at Austin 120
Arlington Villas Rehabilitation and Healthcare Cen 168
Pearl Nordan Care Center - Nursing 30
Buckner Villa Siesta Home 76
Remarkable Healthcare of Fort Worth 120
The Medical Resort at Willowbrook 104
The Medical Resort at Woodlands 90

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 the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Anderson Nursing Center
520 BRADBURN RD
GRAND SALINE, TX
0.00
Reunion Plaza Healthcare and Rehabilitation
1401 RICE RD
TYLER, TX
0.67
The Heights of Alamo
1214 S. ALAMO ROAD
ALAMO, TX
0.67
Baylor Scott and White Continuing Care Hospital Skil
2401 SOUTH 31ST ST
TEMPLE, TX
0.67
Meridian Care of Hebbronville
606 W GRUY
HEBBRONVILLE, TX
1.33
Laredo Medical Center
1700 E SAUNDERS ST
LAREDO, TX
2.00
Azalea Trail Nursing and Rehabilitation Center
411 SPRING CREEK RD
GRAND SALINE, TX
2.67
Mrc The Crossings
255 N EGRET BAY BLVD
LEAGUE CITY, TX
2.67
Sun Valley Rehabilitation and Healthcare Center
2902 S 77 SUNSHINE STRIP
HARLINGEN, TX
3.33
Groveton Nursing Home
1020 W 1ST ST
GROVETON, 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
Brentwood Terrace Healthcare and Rehabilitation
2885 STILLHOUSE ROAD
PARIS, TX
891.33
Rating Not Available /
Oakmont Healthcare and Rehabilitation Center of Hu
8450 WILL CLAYTON PKWY
HUMBLE, TX
581.67
University Place Nursing Center
7480 BEECHNUT
HOUSTON, TX
541.33
/
Paris Healthcare Center
610 DESHONG DR
PARIS, TX
528.17
/
Gracy Woods Nursing Center
12021 METRIC BLVD
AUSTIN, TX
487.50
/
Paradigm at Woodwind Lakes
7215 WINDFERN RD
HOUSTON, TX
483.83
Rating Not Available
Palestine Healthcare Center
1816 TILE FACTORY RD
PALESTINE, TX
480.17
Rating Not Available /
Westpark Rehabilitation and Living
900 WESTPARK WAY
EULESS, TX
461.67
/
Harmony Care at Beaumont
2660 BRICKYARD RD
BEAUMONT, TX
450.33
/
Focused Care at Beechnut
12777 BEECHNUT ST
HOUSTON, TX
435.67

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 8.90 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 2.70 Lower
Cycle 2 Total Number Of Health Deficiencies 7.30 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 2.10 Lower
Cycle 3 Total Number Of Health Deficiencies 6.40 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 2.60 Lower
Average Number Of Residents Per Day 73.30 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 1.96 Lower
Reported Lpn Staffing Hours Per Resident Per Day 1.00 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.41 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.41 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.37 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 2.93 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.32 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.07 Lower
Total Nursing Staff Turnover 52.80 Higher
Registered Nurse Turnover 51.20 Higher
Number Of Administrators Who Have Left The Nursing Home 0.70 Higher
Nursing Case-mix Index 1.29 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.64 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.66 Lower
Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day 3.20 Lower
Number Of Fines 2.30 Higher
Fine Amount In Dollars 52,224.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.62 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 4.59 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 53.39 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.10 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 1.00 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 4.74 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 97.14 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 8.72 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 89.42 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.47 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 12.73 Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 23.07 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 6.70 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 97.59 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 70.01 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 84.49 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 24.47 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 12.18 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.93 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.91 Higher

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