Methodology
This directory is a presentation of public records. The methods below describe how records are joined, which figures are copied as published, and which figures this site computes. No composite “Texas score” is created.
Sources
The spine of the directory is the HHSC Nursing Facilities workbook (active license as of November 9, 2026). That file is the source for name, facility ID, license number and dates, address, phone, county, beds, Alzheimer capacity and certificate, administrator, management company, entity type, and the certified / service-type flags. This edition includes 1,177 facilities: 1,169 listed as federally certified and 8 not federally certified, of which 5 are labeled “NF licensed only.” Those groups are never folded into one count.
CMS Provider Information (dataset 4pq5-n9py), Health Deficiencies (r5ix-sfxw), Ownership (y2hd-n93e), Penalties, and MDS Quality Measures files are joined when they are present in the build. In this edition those files are present: official CMS release October 28, 2026, processing date in the Provider Information file October 1, 2026. 1,151 of 1,177 roster homes joined on a padded Medicare number. Official program descriptions are on the CMS Five-Star page. Details and file status are on Sources. TULIP is used only as an outbound verification link; it is not scraped.
Joining HHSC and CMS
HHSC Medicare Provider Number equals CMS CCN after padding numeric values to 6 characters. Homes without a Medicare number cannot be joined and will not show CMS stars, citations, or ownership, even if they are licensed.
What is shown as published
Star ratings (overall, health inspection, staffing, quality measures, and the published long-stay and short-stay quality-measure ratings), footnotes, special-focus and abuse-icon flags, reported staffing hours, turnover, and summary penalty counts are copied from the CMS provider file when a row matches. Individual fine and payment-denial dates and amounts are copied from the CMS Penalties file. Four-quarter MDS quality-measure averages, quarterly scores, footnotes, and the published “used in the quality-measure Five-Star rating” flag are copied from the MDS Quality Measures file. Citation tags, letters, survey dates, survey-type flags, and correction fields are copied from the Health Deficiencies file. We add only a plain-language label for the scope-and-severity letter. The official deficiency narrative is left on CMS and TULIP. No composite quality score is created from the MDS measures.
What this site computes
Citation counts (total, complaint-survey, and not recorded as corrected) and the highest letter in the file are tallies of rows in the deficiencies file for that CMS number. They are counts, not scores.
The Texas-average staffing hours are the arithmetic mean of reported hours among Texas rows in the CMS provider file that have a numeric value for that measure. Homes with a blank hours field are omitted from that measure’s average. We do not impute missing values and do not copy a benchmark from any other website. Arithmetic mean of reported staffing hours among Texas rows in the CMS Provider Information file that include a numeric value for the measure. Homes with a blank or footnoted-empty hours field are left out of that measure's average. We do not copy a benchmark from any other website. In this edition the computed Texas mean for total nurse staffing hours per resident per day is 3.416 (n=1,152). Registered nurse 0.441 (n=1,152); LPN 0.945 (n=1,152); nurse aide 2.030 (n=1,152); weekend nurse staffing 2.992 (n=1,152). The computed Texas mean for total nursing staff turnover is 50.8 percent (n=1,096).
Lists may be sorted by name, city, published overall stars, or citation count. That sort is not a rank we invented.
Ownership labels
CMS ownership is shown first when a match exists. HHSC owner and entity type are available as supporting fields. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” appears on a large share of rows in the state file and may not describe day-to-day control; it is not used as a headline.
Appeals, lag, and limits
Facilities have appeal rights. A successful appeal can alter or remove a citation. Snapshots lag events at the facility. This site is not medical, legal, or financial advice, and it is not an endorsement of any home. Administrator email addresses appear in the public HHSC roster and are not displayed here.