These are the top 20 highest-rated nursing homes in Texas according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 17 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Baylor Scott & White Continuing Care Hospital Skil | Temple | $0 | |
| 2 | Creekside Terrace Rehabilitation | Belton | $13,070 | |
| 3 | Avir at Graham | Graham | $0 | |
| 4 | Grand Terrace Rehabilitation and Healthcare | McAllen | $0 | |
| 5 | Hendrick Skilled Nursing Facility | Abilene | $0 | |
| 6 | Riverside Oaks | Victoria | $0 | |
| 7 | Oak Bend Medical Center | Richmond | $17,560 | |
| 8 | Advanced Rehabilitation and Healthcare of Bowie | Bowie | $0 | |
| 9 | Hurst Plaza Nursing & Rehab | Hurst | $6,540 | |
| 10 | Pecan Creek Healthcare Center | Hamilton | $0 | |
| 11 | Texhoma Christian Care Center INC | Wichita Falls | $0 | |
| 12 | John Paul II Nursing Home | Kenedy | $0 | |
| 13 | Memorial Nursing and Rehabilitation Center | Dumas | $0 | |
| 14 | Truman W Smith Children's Care Center | Gladewater | $0 | |
| 15 | Avir at Jacksonville | Jacksonville | $0 | |
| 16 | Great Plains Nursing and Rehabilitation | Dumas | $0 | |
| 17 | Electra Healthcare Center | Electra | $0 | |
| 18 | Clyde Nursing Center | Clyde | $0 | |
| 19 | Seymour Rehabilitation and Healthcare | Seymour | $0 | |
| 20 | Renaissance Rehabilitation and Healthcare Center | Italy | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.