These are the lowest-rated nursing homes in Texas based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $2,833,293. 10 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Avir at New Braunfels | New Braunfels | $163,819 | |
| 2 | Buena Vida Nursing and Rehab-San Antonio | San Antonio | $187,608 | |
| 3 | Brookhaven Nursing and Rehabilitation Center | Carrollton | $24,739 | |
| 4 | Willow Ridge Wellness & Rehabilitation | Fort Worth | $321,244 | |
| 5 | Avir at Rose Trail | Tyler | $442,321 | |
| 6 | Meridian Care Monte Vista | San Antonio | $28,345 | |
| 7 | Meridian Care of Alice | Alice | $211,990 | |
| 8 | The Meadows Health and Rehabilitation Center | Dallas | $35,731 | |
| 9 | Mountain View Health & Rehabilitation | El Paso | $127,645 | |
| 10 | Castle Hills Rehabilitation and Care Center | San Antonio | $112,386 | |
| 11 | Laredo West Nursing and Rehabilitation Center | Laredo | $49,719 | |
| 12 | Pleasant Springs Healthcare Center | Mount Pleasant | $70,837 | |
| 13 | Focused Care of Waxahachie | Waxahachie | $172,367 | |
| 14 | Memorial Medical Nursing Center | San Antonio | $35,396 | |
| 15 | Park View Care Center | Fort Worth | $299,019 | |
| 16 | Valley Grande Manor | Weslaco | $88,679 | |
| 17 | Oakmont Guest Care Center | Hurst | $28,792 | |
| 18 | Greenview Nursing and Rehabilitation | Waco | $73,108 | |
| 19 | Skyline Nursing Center | Dallas | $96,817 | |
| 20 | Avir at Longview | Longview | $262,731 |
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.