Texas nursing home directory
Search the HHSC active-license roster by name, city, county, or ZIP. Figures below are counts from that roster, plus published CMS Five-Star ratings and citation counts when a home’s Medicare number joins the CMS file. We do not invent a score.
Certification in the HHSC roster
- Federally certified: 1,169
- Not federally certified: 8
Service type (HHSC labels)
- Medicare / Medicaid: 1,113
- Medicare only: 40
- Medicaid only: 19
- Licensed only: 5
Certified and licensed-only homes are counted separately. The 5 homes labeled “NF licensed only” remain in the directory and are marked on their pages.
CMS ratings and citations in this edition
These figures come from the CMS nursing-home files (official release October 28, 2026; processing date October 1, 2026). 1,151 of 1,177 roster homes joined on a padded Medicare number. Star counts use the overall Five-Star rating CMS published; they are not a grade this site assigned. Citation totals are row counts in the Health Deficiencies file for those joined homes.
Overall CMS star rating (published)
- 5 stars: 154
- 4 stars: 209
- 3 stars: 242
- 2 stars: 252
- 1 star: 286
- No overall rating in the file: 34
Special Focus status in the CMS file (not a label we added): 6 Special Focus Facility homes and 30 Special Focus candidates. 110 joined homes have an abuse icon in the file. Read the Special Focus and abuse-icon explainer before treating either flag as a verdict. Method and as-of dates: Methodology and Sources.
Counties
217 counties have at least one licensed nursing facility in the roster. Open a county for the facility list. Sorting reorders published counts; it is not a ranking.
| County | Facilities | Certified | Not certified | Licensed beds | 5-star homes (CMS) | Citations in CMS file |
|---|---|---|---|---|---|---|
| Anderson | 5 | 5 | 0 | 639 | 1 | 111 |
| Andrews | 1 | 1 | 0 | 112 | 1 | 8 |
| Angelina | 8 | 8 | 0 | 920 | 1 | 263 |
| Aransas | 2 | 2 | 0 | 212 | 0 | 28 |
| Armstrong | 1 | 1 | 0 | 66 | 0 | 21 |
| Atascosa | 5 | 5 | 0 | 364 | 1 | 176 |
| Austin | 2 | 2 | 0 | 175 | 0 | 48 |
| Bailey | 1 | 1 | 0 | 74 | 0 | 26 |
| Bandera | 2 | 2 | 0 | 180 | 0 | 60 |
| Bastrop | 5 | 5 | 0 | 564 | 0 | 113 |
| Baylor | 1 | 1 | 0 | 90 | 0 | 19 |
| Bee | 2 | 2 | 0 | 221 | 2 | 34 |
| Bell | 15 | 15 | 0 | 1,787 | 3 | 431 |
| Bexar | 62 | 62 | 0 | 7,727 | 6 | 2,370 |
| Blanco | 1 | 1 | 0 | 60 | 0 | 30 |
| Bosque | 3 | 3 | 0 | 332 | 0 | 54 |
| Bowie | 7 | 7 | 0 | 684 | 0 | 337 |
| Brazoria | 13 | 13 | 0 | 1,510 | 1 | 260 |
| Brazos | 7 | 7 | 0 | 759 | 1 | 256 |
| Brooks | 1 | 1 | 0 | 96 | 0 | 23 |
| Brown | 7 | 7 | 0 | 710 | 3 | 97 |
| Burleson | 2 | 2 | 0 | 202 | 0 | 59 |
| Burnet | 3 | 3 | 0 | 310 | 1 | 51 |
| Caldwell | 5 | 5 | 0 | 420 | 0 | 140 |
| Calhoun | 2 | 2 | 0 | 278 | 1 | 59 |
| Callahan | 2 | 2 | 0 | 122 | 1 | 25 |
| Cameron | 14 | 14 | 0 | 1,674 | 4 | 380 |
| Camp | 1 | 1 | 0 | 102 | 0 | 29 |
| Cass | 4 | 4 | 0 | 428 | 0 | 152 |
| Castro | 2 | 2 | 0 | 174 | 1 | 57 |
| Chambers | 2 | 2 | 0 | 244 | 0 | 64 |
| Cherokee | 6 | 6 | 0 | 610 | 1 | 155 |
| Childress | 1 | 1 | 0 | 120 | 0 | 37 |
| Clay | 1 | 1 | 0 | 60 | 0 | 52 |
| Coke | 2 | 2 | 0 | 125 | 1 | 34 |
| Coleman | 2 | 2 | 0 | 160 | 0 | 29 |
| Collin | 26 | 26 | 0 | 2,970 | 4 | 669 |
| Collingsworth | 1 | 1 | 0 | 76 | 0 | 15 |
| Colorado | 4 | 4 | 0 | 415 | 1 | 81 |
| Comal | 6 | 6 | 0 | 816 | 0 | 247 |
| Comanche | 3 | 3 | 0 | 357 | 1 | 48 |
| Concho | 1 | 1 | 0 | 66 | 0 | 14 |
| Cooke | 4 | 4 | 0 | 441 | 0 | 135 |
| Coryell | 4 | 4 | 0 | 454 | 0 | 77 |
| Crane | 1 | 1 | 0 | 110 | 0 | 33 |
| Crockett | 1 | 1 | 0 | 56 | 0 | 0 |
| Crosby | 2 | 2 | 0 | 99 | 0 | 61 |
| Dallam | 1 | 1 | 0 | 81 | 0 | 0 |
| Dallas | 77 | 77 | 0 | 10,198 | 8 | 2,292 |
| Dawson | 1 | 1 | 0 | 80 | 0 | 20 |
| Deaf Smith | 1 | 1 | 0 | 120 | 1 | 14 |
| Delta | 1 | 1 | 0 | 100 | 0 | 17 |
| Denton | 19 | 19 | 0 | 2,137 | 3 | 607 |
| Dewitt | 3 | 3 | 0 | 300 | 0 | 65 |
| Dimmit | 1 | 1 | 0 | 100 | 1 | 7 |
| Donley | 1 | 1 | 0 | 61 | 0 | 22 |
| Duval | 1 | 1 | 0 | 90 | 1 | 8 |
| Eastland | 4 | 4 | 0 | 296 | 1 | 81 |
| Ector | 6 | 6 | 0 | 653 | 0 | 131 |
| El Paso | 22 | 22 | 0 | 2,585 | 0 | 1,187 |
| Ellis | 10 | 10 | 0 | 1,279 | 3 | 209 |
| Erath | 3 | 3 | 0 | 270 | 1 | 59 |
| Falls | 2 | 2 | 0 | 171 | 2 | 22 |
| Fannin | 5 | 5 | 0 | 547 | 0 | 215 |
| Fayette | 5 | 5 | 0 | 508 | 0 | 138 |
| Foard | 1 | 1 | 0 | 80 | 0 | 15 |
| Fort Bend | 14 | 14 | 0 | 1,494 | 2 | 326 |
| Franklin | 1 | 1 | 0 | 95 | 0 | 40 |
| Freestone | 3 | 3 | 0 | 261 | 1 | 29 |
| Frio | 1 | 1 | 0 | 150 | 0 | 24 |
| Gaines | 1 | 1 | 0 | 79 | 0 | 0 |
| Galveston | 12 | 12 | 0 | 1,489 | 3 | 243 |
| Garza | 1 | 1 | 0 | 75 | 0 | 11 |
| Gillespie | 4 | 4 | 0 | 389 | 0 | 155 |
| Goliad | 1 | 1 | 0 | 90 | 0 | 22 |
| Gonzales | 2 | 2 | 0 | 212 | 0 | 64 |
| Gray | 3 | 3 | 0 | 272 | 1 | 46 |
| Grayson | 11 | 11 | 0 | 1,354 | 0 | 349 |
| Gregg | 12 | 12 | 0 | 1,438 | 0 | 474 |
| Grimes | 2 | 2 | 0 | 297 | 0 | 69 |
| Guadalupe | 8 | 8 | 0 | 976 | 0 | 347 |
| Hale | 2 | 2 | 0 | 214 | 0 | 53 |
| Hall | 1 | 1 | 0 | 72 | 0 | 20 |
| Hamilton | 3 | 3 | 0 | 238 | 1 | 45 |
| Hansford | 1 | 1 | 0 | 84 | 1 | 10 |
| Hardin | 5 | 5 | 0 | 498 | 1 | 131 |
| Harris | 94 | 94 | 0 | 11,601 | 12 | 2,214 |
| Harrison | 3 | 3 | 0 | 422 | 0 | 105 |
| Haskell | 1 | 1 | 0 | 68 | 1 | 18 |
| Hays | 6 | 6 | 0 | 727 | 0 | 165 |
| Hemphill | 1 | 1 | 0 | 48 | 0 | 0 |
| Henderson | 5 | 5 | 0 | 544 | 1 | 93 |
| Hidalgo | 23 | 22 | 1 | 2,818 | 3 | 586 |
| Hill | 4 | 4 | 0 | 382 | 0 | 101 |
| Hockley | 2 | 2 | 0 | 207 | 0 | 56 |
| Hood | 4 | 4 | 0 | 501 | 1 | 111 |
| Hopkins | 4 | 4 | 0 | 487 | 0 | 175 |
| Houston | 3 | 3 | 0 | 286 | 0 | 84 |
| Howard | 3 | 3 | 0 | 395 | 1 | 76 |
| Hunt | 5 | 5 | 0 | 585 | 0 | 248 |
| Hutchinson | 2 | 2 | 0 | 230 | 0 | 63 |
| Jack | 1 | 1 | 0 | 104 | 0 | 21 |
| Jackson | 2 | 2 | 0 | 211 | 0 | 34 |
| Jasper | 3 | 3 | 0 | 335 | 2 | 51 |
| Jefferson | 14 | 14 | 0 | 1,745 | 2 | 441 |
| Jim Hogg | 1 | 1 | 0 | 60 | 0 | 10 |
| Jim Wells | 3 | 3 | 0 | 441 | 0 | 60 |
| Johnson | 9 | 9 | 0 | 1,135 | 2 | 168 |
| Jones | 2 | 2 | 0 | 172 | 0 | 62 |
| Karnes | 3 | 3 | 0 | 244 | 0 | 62 |
| Kaufman | 9 | 9 | 0 | 978 | 0 | 446 |
| Kendall | 6 | 6 | 0 | 532 | 0 | 191 |
| Kent | 1 | 1 | 0 | 60 | 0 | 27 |
| Kerr | 4 | 4 | 0 | 609 | 0 | 278 |
| Kleberg | 2 | 2 | 0 | 266 | 0 | 39 |
| Knox | 2 | 2 | 0 | 127 | 0 | 40 |
| La Salle | 1 | 1 | 0 | 60 | 0 | 16 |
| Lamar | 5 | 5 | 0 | 577 | 1 | 212 |
| Lamb | 2 | 2 | 0 | 155 | 1 | 56 |
| Lampasas | 3 | 3 | 0 | 264 | 0 | 83 |
| Lavaca | 6 | 6 | 0 | 635 | 3 | 152 |
| Lee | 2 | 2 | 0 | 186 | 0 | 87 |
| Leon | 1 | 1 | 0 | 74 | 0 | 25 |
| Liberty | 4 | 4 | 0 | 438 | 1 | 91 |
| Limestone | 5 | 5 | 0 | 392 | 1 | 73 |
| Lipscomb | 1 | 1 | 0 | 61 | 0 | 0 |
| Live Oak | 1 | 1 | 0 | 96 | 0 | 18 |
| Llano | 3 | 3 | 0 | 338 | 0 | 55 |
| Lubbock | 15 | 15 | 0 | 1,752 | 0 | 484 |
| Madison | 2 | 2 | 0 | 196 | 0 | 55 |
| Marion | 1 | 1 | 0 | 116 | 0 | 42 |
| Matagorda | 3 | 3 | 0 | 325 | 0 | 52 |
| Maverick | 3 | 3 | 0 | 332 | 0 | 87 |
| McCulloch | 1 | 1 | 0 | 106 | 1 | 23 |
| McLennan | 18 | 18 | 0 | 2,416 | 0 | 457 |
| Medina | 3 | 3 | 0 | 287 | 1 | 70 |
| Menard | 1 | 1 | 0 | 40 | 0 | 17 |
| Midland | 5 | 5 | 0 | 525 | 0 | 149 |
| Milam | 3 | 3 | 0 | 293 | 0 | 78 |
| Mills | 2 | 2 | 0 | 146 | 1 | 33 |
| Mitchell | 1 | 1 | 0 | 54 | 0 | 23 |
| Montague | 2 | 2 | 0 | 269 | 1 | 36 |
| Montgomery | 10 | 10 | 0 | 1,367 | 2 | 161 |
| Moore | 2 | 2 | 0 | 176 | 1 | 7 |
| Morris | 1 | 1 | 0 | 117 | 0 | 53 |
| Motley | 1 | 1 | 0 | 50 | 0 | 30 |
| Nacogdoches | 4 | 4 | 0 | 487 | 1 | 81 |
| Navarro | 6 | 6 | 0 | 642 | 1 | 112 |
| Newton | 1 | 1 | 0 | 84 | 0 | 26 |
| Nolan | 2 | 2 | 0 | 196 | 0 | 32 |
| Nueces | 14 | 14 | 0 | 1,755 | 2 | 439 |
| Ochiltree | 1 | 1 | 0 | 60 | 1 | 20 |
| Orange | 3 | 3 | 0 | 364 | 1 | 96 |
| Palo Pinto | 2 | 2 | 0 | 215 | 0 | 33 |
| Panola | 3 | 3 | 0 | 303 | 0 | 106 |
| Parker | 9 | 9 | 0 | 990 | 1 | 174 |
| Parmer | 2 | 2 | 0 | 158 | 0 | 48 |
| Pecos | 1 | 1 | 0 | 120 | 0 | 16 |
| Polk | 4 | 4 | 0 | 451 | 0 | 97 |
| Potter | 9 | 9 | 0 | 1,017 | 1 | 225 |
| Rains | 1 | 1 | 0 | 68 | 0 | 28 |
| Randall | 3 | 3 | 0 | 346 | 0 | 88 |
| Reagan | 1 | 1 | 0 | 42 | 0 | 0 |
| Real | 1 | 1 | 0 | 86 | 0 | 44 |
| Red River | 2 | 2 | 0 | 252 | 0 | 63 |
| Reeves | 1 | 1 | 0 | 89 | 0 | 39 |
| Refugio | 1 | 1 | 0 | 90 | 0 | 25 |
| Robertson | 3 | 3 | 0 | 252 | 0 | 77 |
| Rockwall | 5 | 5 | 0 | 766 | 1 | 133 |
| Runnels | 2 | 2 | 0 | 232 | 0 | 32 |
| Rusk | 4 | 4 | 0 | 525 | 0 | 122 |
| Sabine | 2 | 2 | 0 | 179 | 1 | 38 |
| San Augustine | 3 | 3 | 0 | 285 | 0 | 70 |
| San Jacinto | 1 | 1 | 0 | 100 | 0 | 32 |
| San Patricio | 2 | 2 | 0 | 187 | 1 | 52 |
| San Saba | 1 | 1 | 0 | 72 | 1 | 3 |
| Schleicher | 1 | 1 | 0 | 34 | 0 | 0 |
| Scurry | 1 | 1 | 0 | 80 | 0 | 25 |
| Shelby | 3 | 3 | 0 | 349 | 1 | 68 |
| Sherman | 1 | 1 | 0 | 42 | 0 | 0 |
| Smith | 17 | 17 | 0 | 1,995 | 3 | 393 |
| Somervell | 2 | 2 | 0 | 220 | 1 | 37 |
| Starr | 2 | 2 | 0 | 230 | 0 | 45 |
| Stephens | 1 | 1 | 0 | 92 | 1 | 9 |
| Sterling | 1 | 1 | 0 | 44 | 0 | 13 |
| Stonewall | 1 | 1 | 0 | 53 | 0 | 10 |
| Tarrant | 73 | 72 | 1 | 9,176 | 10 | 2,227 |
| Taylor | 11 | 11 | 0 | 1,164 | 1 | 349 |
| Terry | 2 | 2 | 0 | 162 | 0 | 57 |
| Titus | 3 | 3 | 0 | 362 | 0 | 207 |
| Tom Green | 8 | 8 | 0 | 889 | 1 | 164 |
| Travis | 30 | 28 | 2 | 3,303 | 4 | 840 |
| Trinity | 3 | 3 | 0 | 227 | 1 | 90 |
| Tyler | 2 | 2 | 0 | 179 | 0 | 40 |
| Upshur | 2 | 2 | 0 | 205 | 0 | 103 |
| Upton | 1 | 1 | 0 | 30 | 0 | 0 |
| Uvalde | 2 | 2 | 0 | 315 | 0 | 62 |
| Val Verde | 3 | 3 | 0 | 256 | 0 | 76 |
| Van Zandt | 6 | 6 | 0 | 565 | 2 | 70 |
| Victoria | 4 | 4 | 0 | 454 | 1 | 110 |
| Walker | 3 | 3 | 0 | 228 | 1 | 53 |
| Waller | 2 | 2 | 0 | 248 | 0 | 63 |
| Ward | 1 | 1 | 0 | 92 | 0 | 32 |
| Washington | 4 | 3 | 1 | 351 | 0 | 69 |
| Webb | 5 | 5 | 0 | 744 | 1 | 140 |
| Wharton | 4 | 4 | 0 | 447 | 1 | 104 |
| Wheeler | 1 | 1 | 0 | 90 | 1 | 13 |
| Wichita | 13 | 10 | 3 | 1,395 | 4 | 149 |
| Wilbarger | 1 | 1 | 0 | 120 | 0 | 18 |
| Willacy | 1 | 1 | 0 | 120 | 0 | 31 |
| Williamson | 15 | 15 | 0 | 1,919 | 1 | 400 |
| Wilson | 4 | 4 | 0 | 515 | 0 | 104 |
| Wise | 4 | 4 | 0 | 446 | 0 | 75 |
| Wood | 5 | 5 | 0 | 525 | 0 | 185 |
| Yoakum | 1 | 1 | 0 | 60 | 1 | 10 |
| Young | 3 | 3 | 0 | 325 | 0 | 49 |
| Zapata | 1 | 1 | 0 | 59 | 0 | 18 |