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 Tuskegee Airmen Texas State Veterans Home Fort Worth, TX F 0 N/A 15
2 Five Points Nursing & Rehabilitation of College St College Station, TX F 0 0.32 16
3 Trinity Rehabilitation & Healthcare Center Trinity, TX F 0 N/A 36
4 Fall Creek Rehabilitation and Healthcare Center Humble, TX F 0 0.11 8
5 West Rest Haven West, TX F 0 0.18 20
6 Matlock Place Health & Rehabilitation Center Arlington, TX F 0 N/A 17
7 RIVER HILLS HEALTH AND REHABILITATION CENTER KERRVILLE, TX F 0 0.23 22
8 Vidor Health & Rehabilitation Center Vidor, TX F 0 0.13 17
9 Wells LTC Nursing & Rehabilitation Wells, TX F 0 0.20 17
10 Lampstand Nursing and Rehabilitation Bryan, TX F 0 0.45 23
11 Paradigm at the Oak Schulenburg, TX F 0 0.30 22
12 Vintage Health Care Center Denton, TX F 0 0.39 20
13 Benbrook Nursing & Rehabilitation Center Benbrook, TX F 0 0.12 31
14 Avir at Golfcrest Houston, TX F 0 0.39 14
15 Williamsburg Village Healthcare Campus Desoto, TX F 0 0.17 37
16 Beaumont Nursing and Rehabilitation Beaumont, TX F 0 0.25 13
17 Harmony Care at Beaumont Beaumont, TX F 0 0.24 17
18 Avir at Adams TEMPLE, TX F 0 0.26 21
19 Woodland Park Nursing & Rehab Shepherd, TX F 0 0.16 16
20 South Dallas Nursing & Rehabilitation Dallas, TX F 0 0.08 24
21 Navasota Nursing & Rehabilitation Navasota, TX F 0 0.27 21
22 Whispering Pines Lodge Longview, TX F 0 0.43 25
23 Bluebonnet Nursing & Rehabilitation Karnes City, TX F 0 0.30 19
24 Sabine Heights Nursing and Rehabilitation Center Port Arthur, TX F 0 0.26 18
25 Focused Care at Sherman Sherman, TX F 0 0.21 17
26 Woodway Nursing & Rehab Houston, TX F 0 0.44 12
27 Greenville Health & Rehabilitation Center GREENVILLE, TX F 0 0.25 27
28 San Antonio West Nursing and Rehabilitation San Antonio, TX F 0 0.33 35
29 DFW Nursing & Rehab Fort Worth, TX F 0 0.48 22
30 Coral Rehabilitation and Nursing of Austin Austin, TX F 0 0.21 36
31 Kennedy Health & Rehab Lufkin, TX F 0 N/A 26
32 Arbor View Nursing & Rehabilitation Kerrville, TX F 0 0.35 29
33 Pebble Creek Nursing Center El Paso, TX F 0 0.45 21
34 Avir at San Antonio San Antonio, TX F 0 0.07 24
35 Greenview Nursing and Rehabilitation Waco, TX F 0 0.34 20
36 Valley Grande Manor Weslaco, TX F 0 0.10 30
37 Texoma Healthcare Center Sherman, TX F 0 0.50 18
38 Castle Hills Rehabilitation and Care Center San Antonio, TX F 0 0.59 31
39 Avir at Rose Trail Tyler, TX F 0 0.39 22
40 Buena Vida Nursing and Rehab-San Antonio San Antonio, TX F 0 0.27 26
41 Avir at New Braunfels New Braunfels, TX F 0 0.23 26
42 Paradigm at the Prairies El Campo, TX F 1 0.40 23
43 Terrell Healthcare Center Terrell, TX F 1 0.62 26
44 San Rafael Nursing and Rehabilitation Center Corpus Christi, TX F 1 0.14 15
45 Reunion Plaza Senior Care and Rehabilitation Cente Texarkana, TX F 1 0.49 27
46 Epic Nursing & Rehabilitation Corsicana, TX F 2 0.43 20
47 Twin Pines Nursing and Rehabilitation Victoria, TX F 2 0.20 15
48 Fallbrook Rehabilitation and Care Center Houston, TX F 2 0.39 21
49 Austin Wellness & Rehabilitation Austin, TX F 2 0.57 19
50 Brookhaven Nursing and Rehabilitation Center Carrollton, TX F 2 N/A 10
51 Avir at Patriot El Paso, TX F 3 0.21 19
52 Fox Hollow Post Acute Brownsville, TX F 3 0.17 16
53 Gilmer Nursing & Rehabilitation GILMER, TX F 3 0.17 25
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 Avir at Beaumont Beaumont, TX F 3 0.14 14
57 Focused Care at Humble Humble, TX F 4 0.24 7
58 Mountain View Health & Rehabilitation El Paso, TX F 4 0.44 29
59 Shady Acres Health & Rehabilitation Newton, TX F 5 0.24 10
60 Galveston Nursing and Rehabilitation Center Galveston, TX F 5 0.60 29
61 Bay Ridge Healthcare Center La Porte, TX F 5 0.40 8
62 Interlochen Health and Rehabilitation Center Arlington, TX F 5 0.31 15
63 Lakeside Health and Wellness Kemp, TX F 6 0.38 24
64 Deerbrook Skilled Nursing and Rehab Center Humble, TX F 6 0.31 18
65 Columbus Oaks Healthcare Community Columbus, TX F 6 N/A 13
66 Paradigm at the Creek Wharton, TX F 6 0.35 19
67 Normandy Terrace Nursing & Rehabilitation Center San Antonio, TX F 7 0.52 32
68 Avir at Weston Temple, TX F 7 0.21 11
69 Crestway Nursing & Rehabilitation SAN ANTONIO, TX F 7 0.32 18
70 Estates Healthcare and Rehabilitation Center Fort Worth, TX F 7 0.49 25
71 Avir at Kerrville Kerrville, TX F 8 0.40 38
72 Eagle Crest Rapid Recovery Houston, TX F 8 0.43 19
73 Avir at Mineola Mineola, TX F 8 0.16 13
74 Giddings Nursing and Rehabilitation GIDDINGS, TX F 8 0.33 23
75 Rockwall Nursing Care Center Rockwall, TX F 8 0.37 21
76 Brush Country Nursing and Rehabilitation Austin, TX F 8 0.33 24
77 Advanced Health & Rehab Center of Garland Garland, TX F 8 0.33 22
78 Avir at Caldwell Caldwell, TX F 9 0.30 12
79 Avir at Arlington ARLINGTON, TX F 9 0.25 12
80 Golfcrest Nursing and Rehabilitation Houston, TX F 9 0.30 14
81 Avir at Lindale LINDALE, TX F 10 0.45 19
82 WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER HOUSTON, TX F 10 0.24 6
83 ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT Houston, TX F 10 N/A 7
84 Town East Rehabilitation and Healthcare Center Mesquite, TX F 10 0.42 16
85 Village Creek Rehabilitation and Nursing Center Lumberton, TX F 10 0.20 15
86 Gracy Woods Nursing Center Austin, TX F 10 0.18 14
87 Avir at Lubbock Lubbock, TX F 10 0.23 16
88 Paradigm Northwest Houston, TX F 10 0.23 12
89 Harbor Valley Health and Rehabilitation San Antonio, TX F 11 0.10 17
90 Avir at Schertz Schertz, TX F 11 0.28 37
91 Merkel Nursing Center Merkel, TX F 11 0.68 21
92 Park Place Nursing & Rehabilitation Center Tyler, TX F 11 0.32 20
93 Avir at Citizens Trail TEXARKANA, TX F 11 0.48 26
94 William R Courtney Texas State Veterans Home Temple, TX F 11 N/A 8
95 Willow Park Rehabilitation Health Care Center Clifton, TX F 11 0.27 14
96 Franklin Heights Nursing & Rehabilitation El Paso, TX F 11 0.24 17
97 Focused Care at Mount Pleasant Mount Pleasant, TX F 11 0.38 18
98 Grace Care Center of Henrietta Henrietta, TX F 11 N/A 6
99 Oak Park Nursing and Rehabilitation Center San Antonio, TX F 11 0.18 25
100 Park View Care Center Fort Worth, TX F 11 0.31 25
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 →