NursingHomeGrade

Lowest-Rated Nursing Homes in Texas

Facilities in Texas with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.

⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.

Rankings

# Facility Location Grade Score RN Hours Deficiencies
1 Five Points Nursing & Rehabilitation of College St College Station, TX F 0 0.32 22
2 Avir at Kerrville Kerrville, TX F 0 0.40 38
3 Trinity Rehabilitation & Healthcare Center Trinity, TX F 0 N/A 36
4 West Rest Haven West, TX F 0 0.18 20
5 Matlock Place Health & Rehabilitation Center Arlington, TX F 0 N/A 23
6 Maverick Nursing and Rehabilitation Center Eagle Pass, TX F 0 0.34 18
7 RIVER HILLS HEALTH AND REHABILITATION CENTER KERRVILLE, TX F 0 0.23 22
8 Wells LTC Nursing & Rehabilitation Wells, TX F 0 0.20 17
9 Lampstand Nursing and Rehabilitation Bryan, TX F 0 0.45 22
10 Paradigm at the Oak Schulenburg, TX F 0 0.30 22
11 Vintage Health Care Center Denton, TX F 0 0.39 20
12 Gracy Woods Nursing Center Austin, TX F 0 0.18 14
13 Benbrook Nursing & Rehabilitation Center Benbrook, TX F 0 0.12 27
14 Gilmer Nursing & Rehabilitation GILMER, TX F 0 0.17 25
15 San Rafael Nursing and Rehabilitation Center Corpus Christi, TX F 0 0.14 19
16 Harmony Care at Beaumont Beaumont, TX F 0 0.24 19
17 Avir at Adams TEMPLE, TX F 0 0.26 20
18 Woodland Park Nursing & Rehab Shepherd, TX F 0 0.16 16
19 Reunion Plaza Senior Care and Rehabilitation Cente Texarkana, TX F 0 0.49 27
20 South Dallas Nursing & Rehabilitation Dallas, TX F 0 0.08 23
21 Navasota Nursing & Rehabilitation Navasota, TX F 0 0.27 20
22 Whispering Pines Lodge Longview, TX F 0 0.43 25
23 Bluebonnet Nursing & Rehabilitation Karnes City, TX F 0 0.30 21
24 Sabine Heights Nursing and Rehabilitation Center Port Arthur, TX F 0 0.26 19
25 Woodway Nursing & Rehab Houston, TX F 0 0.44 11
26 Greenville Health & Rehabilitation Center GREENVILLE, TX F 0 0.25 32
27 San Antonio West Nursing and Rehabilitation San Antonio, TX F 0 0.33 36
28 Coral Rehabilitation and Nursing of Austin Austin, TX F 0 0.21 36
29 Kennedy Health & Rehab Lufkin, TX F 0 N/A 25
30 Arbor View Nursing & Rehabilitation Kerrville, TX F 0 0.35 24
31 Pebble Creek Nursing Center El Paso, TX F 0 0.45 21
32 Paradigm Northwest Houston, TX F 0 0.23 17
33 Avir at San Antonio San Antonio, TX F 0 0.07 24
34 Paradigm at the Creek Wharton, TX F 0 0.35 18
35 Greenview Nursing and Rehabilitation Waco, TX F 0 0.34 17
36 Valley Grande Manor Weslaco, TX F 0 0.10 29
37 Castle Hills Rehabilitation and Care Center San Antonio, TX F 0 0.59 32
38 Avir at Rose Trail TYLER, TX F 0 0.39 24
39 Brookhaven Nursing and Rehabilitation Center Carrollton, TX F 0 N/A 11
40 Buena Vida Nursing and Rehab-San Antonio SAN ANTONIO, TX F 0 0.27 24
41 Avir at New Braunfels New Braunfels, TX F 0 0.23 26
42 Avir at Beaumont Beaumont, TX F 0 0.14 16
43 Terrell Healthcare Center Terrell, TX F 1 0.62 26
44 Focused Care at Sherman Sherman, TX F 1 0.21 15
45 San Antonio North Nursing and Rehabilitation San Antonio, TX F 1 0.38 22
46 Avir at Patriot El Paso, TX F 2 0.21 21
47 Accel at Willow Bend Plano, TX F 2 0.35 26
48 Epic Nursing & Rehabilitation Corsicana, TX F 2 0.43 20
49 Paradigm at the Prairies El Campo, TX F 2 0.40 19
50 Williamsburg Village Healthcare Campus Desoto, TX F 2 0.17 32
51 Avir at Mineola Mineola, TX F 2 0.16 17
52 Twin Pines Nursing and Rehabilitation Victoria, TX F 2 0.20 15
53 Fallbrook Rehabilitation and Care Center Houston, TX F 2 0.39 28
54 Avir at Kennedale Kennedale, TX F 3 0.29 21
55 Five Points at Lake Highlands Nursing and Rehab Dallas, TX F 3 0.42 20
56 Vidor Health & Rehabilitation Center Vidor, TX F 4 0.13 13
57 Mountain View Health & Rehabilitation El Paso, TX F 4 0.44 30
58 Shady Acres Health & Rehabilitation Newton, TX F 5 0.24 10
59 Focused Care at Humble Humble, TX F 5 0.24 6
60 Bay Ridge Healthcare Center La Porte, TX F 5 0.40 8
61 Mesa Vista Inn Health Center SAN ANTONIO, TX F 5 0.20 24
62 Lakeside Health and Wellness Kemp, TX F 6 0.38 24
63 Fall Creek Rehabilitation and Healthcare Center Humble, TX F 6 0.11 6
64 Fox Hollow Post Acute Brownsville, TX F 6 0.17 14
65 Deerbrook Skilled Nursing and Rehab Center Humble, TX F 6 0.31 18
66 Columbus Oaks Healthcare Community Columbus, TX F 6 N/A 13
67 Oasis at Pearland Pearland, TX F 6 0.48 10
68 Amistad Nursing and Rehabilitation Center Uvalde, TX F 6 0.29 14
69 Sonterra Health Center San Antonio, TX F 7 0.25 18
70 Normandy Terrace Nursing & Rehabilitation Center San Antonio, TX F 7 0.52 29
71 Crestway Nursing & Rehabilitation SAN ANTONIO, TX F 7 0.32 18
72 Paradigm at Woodwind Lakes Houston, TX F 7 0.58 16
73 Eagle Crest Rapid Recovery Houston, TX F 8 0.43 19
74 Harmony Care at Giddings Giddings, TX F 8 0.33 23
75 Advanced Health & Rehab Center of Garland Garland, TX F 8 0.33 22
76 Avir at Killeen Killeen, TX F 9 0.45 17
77 Avir at Weston Temple, TX F 9 0.21 10
78 Whisperwood Nursing & Rehabilitation Center Lubbock, TX F 9 0.33 10
79 Woodland Manor Nursing and Rehabilitation Conroe, TX F 9 0.32 14
80 Estates Healthcare and Rehabilitation Center Fort Worth, TX F 9 0.49 23
81 RIVER OAKS HEALTH AND REHABILITATION CENTER FORT WORTH, TX F 9 N/A 12
82 DFW Nursing & Rehab Fort Worth, TX F 9 0.48 24
83 The Palms Nursing & Rehabilitation Corpus Christi, TX F 9 0.54 22
84 AVIR AT LINDALE LINDALE, TX F 10 0.45 19
85 WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER HOUSTON, TX F 10 0.24 6
86 ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT Houston, TX F 10 N/A 7
87 Village Creek Rehabilitation and Nursing Center Lumberton, TX F 10 0.20 15
88 AVIR AT COWHORN CREEK TEXARKANA, TX F 10 0.38 28
89 Galveston Nursing and Rehabilitation Center Galveston, TX F 10 0.60 17
90 Brush Country Nursing and Rehabilitation Austin, TX F 10 0.33 24
91 Avir at Lubbock Lubbock, TX F 10 0.23 16
92 THE LODGE OF SAGINAW HEALTH AND WELLNESS SAGINAW, TX F 11 0.28 14
93 Harbor Valley Health and Rehabilitation San Antonio, TX F 11 0.10 17
94 Avir at Schertz Schertz, TX F 11 0.28 37
95 Merkel Nursing Center Merkel, TX F 11 0.68 29
96 Avir at Citizens Trail TEXARKANA, TX F 11 0.48 26
97 William R Courtney Texas State Veterans Home Temple, TX F 11 N/A 8
98 Willow Park Rehabilitation Health Care Center Clifton, TX F 11 0.27 14
99 Franklin Heights Nursing & Rehabilitation El Paso, TX F 11 0.24 17
100 Colonial Manor Advanced Rehab & Healthcare Pharr, TX F 11 0.13 11
See highest-rated → Staffing failures report →

Methodology

Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.

Learn more about our methodology →